Individual
MR. ADAM RE'
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
650 HAWKINS AVE, RONKONKOMA, NY 11779-2366
(631) 981-7422
Mailing address
211 HORTON CT, MANORVILLE, NY 11949-1107
(631) 433-4321
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004864-1
NY
Other
Enumeration date
09/02/2013
Last updated
09/02/2013
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